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NPI Code Detail

MEDICARE: LINDSAY LUSINSKI

MEDICARE: LINDSAY LUSINSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1255906368
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY LUSINSKI
Provider Business Mailing Address
First Line : 2005 KENNEDY DR APT 6
Second Line :
City : EAST MOLINE
State : IL
Zip : 61244-2415
Country : US
Telephone Number : 563-506-3246
Fax Number :
Provider Business Practice Location Address
First Line : 1225 E RIVER DR STE 330
Second Line :
City : DAVENPORT
State : IA
Zip : 52803-5761
Country : US
Telephone Number : 563-424-0136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2021
Last Update Date : 12/13/2025

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Directions to “ LINDSAY LUSINSKI ” Practice Location

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